<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-fluid"  data-validate="parsley" id="validate-form">
                	<div class="row">
						<div class="col-sm-9">
							<div class="col-sm-12">
								<div class="form-group">
									<label class="col-sm-2 control-label has-error" for="search_member">姓名手机卡号:</label>
									<div class="col-sm-8">
										<select name="search_member" id="search_member"  style="width: 100%;"></select>
									</div>
								</div>
							</div>
						</div>
						<div class="col-md-3 col-sm-3">
							<img data-src="holder.js/140x140" id="face1" class="img-rounded" alt="140x140" style="width: 140px; height: 140px;" src="" data-holder-rendered="true">
						</div>
						<input type="hidden" id="card_no" value="">
                	</div>
                  </form>  
                </div>
                
                <div class="panel-footer">
	                <div class="row">
	                    <div class="col-sm-6 col-sm-offset-3">
	                        <div class="btn-toolbar">
	                            <div class="row">
			                		 <div class="form-group">
			                    		<div class="col-sm-3">
			                    			 <div class="btn-primary btn" id="form-submit">出场</div>
			                    		</div>
			                    		<div class="col-sm-3">
			                    			 <div class="btn-default btn" data-dismiss="modal">关闭</div>
			                    		</div>
			                   		 </div>
	                			</div>
	                        </div>
	                    </div>
	                </div>
            	</div>
                
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}behavior/member_out.js'></script>